摘要
目的探讨带锁髓内钉治疗肱骨骨折不愈合的疗效。方法回顾性分析我院25例肱骨骨折不愈合的临床资料,评价治疗效果。结果本组25例患者术后根据骨折的愈合情况及肩肘关节功能综合疗效判定:优20例,良4例,差1例。没有一例出现血管损伤、髓腔感染、断钉及静脉血栓等并发症。术后随访6~36月,平均随访18个月,随访终点未见主钉及锁钉断裂或折弯病例。结论带锁髓内钉内固定是目前一种治疗肱骨骨折术后断端不愈合很好的手段,具有并发症发生率低、内固定易取等优点,值得在临床上推广应用。
Objective To explore the effect of the treatment of humeral intramedullary nail fracture healing. Methods A retrospective analysis of 25 cases of humeral fractures in our hospital clinical data of non-union,analysis treatment effect. Results The group of 25 patients after healing of the fracture of the elbow joint of shoulder-length feature integrated to determine efficacy:excellent in 20 cases,good in 4 cases and poor in 1 case. None of the cases occurred vascular injury,marrow infections,broken nails and complications such as venous thrombosis. Postoperative followup 6~36 months,mean follow-up of 18 months follow-up no end of the main nail and nail breakage or bending of cases. Conclusion Interlocking intramedullary nail fixation is a treatment for nonunion of humeral fracture after a good means to stump,complication rate is low and easy to take the advantages of internal fixation,it is worth popularization and application in clinical practice.
出处
《当代医学》
2010年第30期16-17,共2页
Contemporary Medicine
关键词
肱骨骨折
骨折不愈合
带锁髓内钉
humeral fractures
fracture healing
interlocking intramedullary nail